Provider Demographics
NPI:1235964701
Name:SCHELL, EMILY KATHRYN (MHS, CF-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHRYN
Last Name:SCHELL
Suffix:
Gender:F
Credentials:MHS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 UPPER BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:SAINT THOMAS
Mailing Address - State:MO
Mailing Address - Zip Code:65076-2229
Mailing Address - Country:US
Mailing Address - Phone:573-694-8537
Mailing Address - Fax:
Practice Address - Street 1:1115 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-5443
Practice Address - Country:US
Practice Address - Phone:573-634-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024030470235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist